Individual
DR. JESSICA MICHELLE TRUSKOWSKI ROBNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2700 HOMESTEAD RD, PARK CITY, UT 84098-4857
(435) 200-3083
Mailing address
3361 BUCKBOARD DR, PARK CITY, UT 84098-5303
(603) 494-5274
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9518522-2501
UT
390200000X
Student in an Organized Health Care Education/Training Program
9518522-2504
UT
Other
Enumeration date
03/29/2016
Last updated
12/01/2021
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